•  
  •  
 

Abstract

Surgery service is one of the health services in a hospital that can describe the quality of the hospital. Sanglah Hospital, Denpasar is a hospital at the provincial level which has a long waiting time for surgery. The long waiting time for surgery is generally related to factors such as the availability of facilities and infrastructure, human resources, and the length of time for approval from patients and families for surgery. Research is needed to determine the factors that significantly form the basis for determining policies at the Sanglah General Hospital level, especially in the Emergency Room, to improve operating services. observational approach and cross-sectional analysis design. This study involved 54 respondents in quantitative research and 7 informants in qualitative research. The result showed bed block events is 38,9 % from December 2017 to February 2018. Agreement following informed consent is obtained in ≥ 1 hour for 17 respondents (31,5%) and < 1 hour for 37 respondents (68,5%). Tools and equipment are complete and available in 94,4% cases and incomplete in 5,6% cases. Time consumed waiting for operation is categorized delay if ≥ 5 hours in 33,3% cases, categorized not delay if < 5 hours in 66,7%. Bivariate analysis using Chi Square showed p-value 0,000 for correlation between bed block and delay to operation, p-value 0,000 for correlation between time consumed to obtain agreement for surgery, p-value 0,012 for correlation between tools and equipment with delay to operation. The most influencing factor is operation agreement with p-value 0,005 using logistic regression. From this study, we conclude there is significant correlation between bed block, time consumed for obtain operation agreement, tools and equipment availability with delay to operation. This result is a base in making strategy to improve quality of surgery services in emergency department.

Bahasa Abstract

Pelayanan operasi merupakan salah satu pelayanan kesehatan di rumah rumah sakit yang dapat menggambarkan mutu rumah sakit. RSUP Sanglah, Denpasar merupakan rumah sakit di tingkat provinsi yang memiliki waktu tunggu operasi yang cukup panjang. Adapun waktu tunggu tindakan operasi yang Panjang pada umumnya terkait dengan factor-faktor seperti ketersediaan sarana dan prasarana, sumber daya manusia, serta lamanya persetujuan dari pasien dan keluarga terhadap tindakan operasi. Perlu dilakukan penelitian untuk mengetahui faktor yang secara siginifkan menjadi dasar dalam penentuan kebijakan di level RSUP Sanglah, khususnya di Instalasi Rawat Darurat, untuk meningkatkan pelayanan operasi. pendekatan observasional dan desain analisis potong lintang. Penelitian ini melibatkan 54 responden pada penelitian kuantitatif dan 7 informan pada penelitian kualitatif. Bulan Desember 2017-Februari 2018 didapatkan terjadi bed block sebanyak 38,9 % dan tidak terjadi bad block 61,1%. Persetujuan operasi didapatkan data persetujuan operasi ≥ 1 jam sebanyak 17 responden (31,5%) dan persetujuan operasi < 1 jam sebanyak 37 68,5%. Alat dan sarana didapatkan tidak lengkap 5,6% dan lengkap 94,4%. Tindakan operasi ≥ 5 jam dikategorikan delay sebanyak 33,3%. Tindakan operasi < 5 jam dikategorikan tidak delay sebanyak 66,7%. Faktor yang paling berpengaruh terhadap keterlambatan operasi adalah persetujuan operasi. Persetujuan operasi menyebabkan waktu persiapan operasi sampai pengamprahan kamar operasi menjadi lebih lama. Terdapat hubungan yang signifikan dari bed block, persetujuan operasi serta alat dan sarana terhadap keterlambatan operasi. Temuan dari secara kuantitatif tersebut didukung pula dengan temuan secara kualitatif. Hasil penelitian dapat dijadikan pedoman dalam penyusunan strategi peningkatan kualitas pelayanan kamar operasi di RSUP Sanglah.

Download

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.